Proportion of reimbursement in different places in Shenzhen medical insurance outpatient department

The highest reimbursement rate is 90%.

1, reimbursement conditions for medical insurance in different places, medical expenses incurred by insured persons who have gone through medical registration procedures in different places, such as resettlement, visiting relatives, working and studying abroad, in designated medical institutions with medical insurance in different places, are paid in cash. The medical expenses incurred by the provincial insured who agreed to be transferred to designated medical institutions in Beijing and Shanghai after filing shall be paid in cash.

2, medical insurance is territorial management, in principle, where the insured, where to enjoy medical insurance benefits. If the insured person needs to seek medical treatment in a different place, he can open a transfer certificate in the medical institution of the insured place, or go through the medical treatment procedures in the social security bureau of the insured place. You can be hospitalized in different places, pay cash first, and apply for reimbursement of medical expenses at the social security bureau of the insured place with your ID card, household registration book, social security card, transfer certificate or certificate of medical treatment in different places after discharge. The social security bureau of the insured place will not reimburse the medical expenses if it fails to apply for the transfer certificate or seek medical treatment in different places.

3. There is no deductible for general outpatient service. All insured residents enjoy general outpatient treatment. Within a medical insurance year, there is no deductible line for general outpatient service, and the medical expenses within the scope of outpatient co-ordination fund payment are reimbursed according to the proportion of 60%, and the annual maximum personal payment limit of co-ordination fund is 400 yuan.

4. The longer the continuous insurance period, the greater the reimbursement ratio. The proportion of hospitalization reimbursement of the medical insurance fund will increase by 5 percentage points every 5 years after the insured residents pay continuously, and the cumulative amount will not exceed 10 percentage point. If you continue to participate in insurance 10 years from 2007, the reimbursement rates of hospitalization in tertiary, secondary and primary hospitals will reach 70%, 80% and 90% respectively.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.